# N KEITH SEIBERT DC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518175199
- **Authorized official:** DR. NELSON KEITH SEIBERT DC (CHIROPRACTOR)
- **Authorized official phone:** (419) 732-3189

## Contact information

- **Practice address:** 123 E 2ND ST, PORT CLINTON, OH 43452-1114
- **Practice address phone:** (419) 732-3189
- **Mailing address:** 123 E 2ND ST, PORT CLINTON, OH 43452-1114
- **Mailing address phone:** (419) 732-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 06/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0454539 | — | OH |
| 01 | — | 1629088554 | MEDICARE NPI | OH |